Analisa Desain Formulir Informed Consent Terkait Akreditasi Standar HPK 6 di Rumah Sakit Mitra Bangsa Pati Tahun 2017 - UDiNus Repository
Dokumen Karya Ilmiah | Skripsi | Prodi Rekam Medis&Info. Kesehatan - D3 | FKes | UDINUS | 2017
Analisa Desain Formulir Informed Consent Terkait Akreditasi Standar
HPK 6 di Rumah Sakit Mitra Bangsa Pati Tahun 2017
EVY PURWANING TYAS
(Pembimbing : Retno Astuti Setijaningsih, SS, MM)
Rekam Medis&Info. Kesehatan - D3, FKes, Universitas Dian
Nuswantoro
www.dinus.ac.id
Email : 422201401552@mhs.dinus.ac.id
ABSTRAK
Program Studi D-III Rekam Medis dan Informasi Kesehatan
Fakultas Kesehatan, Universitas Dian Nuswantoro
Semarang
2017
ABSTRAK
Evy Purwaning Tyas
ANALISA DESAIN FORMULIR INFORMED CONSENT TERKAIT AKREDITASI STANDAR HPK 6 DI
RUMAH SAKIT MITRA BANGSA PATI TAHUN 2017
Formulir Informed Consent merupakan salah satu formulir yang diabadikan, sehingga diperlukan
rancangan yang memudahkan petugas untuk mengisi formulir secara lengkap. Sejalan diadakannya
akreditasi versi 2012 di Rumah Sakit Mitra Bangsa, khususnya pada standar Hak Pasien dan Keluarga 6
(HPK 6), tim komite akreditasi rumah sakit melakukan telusur terhadap Formulir Informed Consent dan
ditemukan formulir yang tidak lengkap. Ketidaklengkapan antara lain tidak ada tanda tangan dan nama saksi
dan kolom pelaksanaan pemberian informasi tidak diisi dengan tanda ?. Tujuan penelitian antara lain :
menganalisa desain Formulir Informed Consent berdasarkan aspek fisik, anatomik, dan isi, mengidentifikasi
kendala pengisian Formulir Informed Consent, menganalisa desain Formulir Informed Consent berdasarkan
pelaksanaan akreditasi standar HPK 6 dan merancang ulang desain Formulir Informed Consent.
Metode penelitian yang digunakan adalah metode penelitian deskriptif. Subjek penelitian yaitu semua
perawat yang ada di ruang operasi Rumah Sakit Mitra Bangsa Pati sejumlah 8 orang. Sedangkan objek
penelitian adalah Formulir Informed Consent. Instrumen penelitian adalah pedoman observasi dan angket.
Jenis data yang digunakan adalah data primer dari hasil observasi langsung Formulir Informed Consent dan
data sekunder dari buku referensi.
Hasil penelitian menyatakan analisa formulir dari aspek fisik bahan kertas terlalu tipis. Dari aspek
anatomik margin terlalu sempit, tidak ada nomor edisi, dan tidak ada tempat dan tanggal pada tanda tangan.
Kendala pengisian adalah tidak ada perintah cara pengisian dan ketidaklengkapan pengisian tanda tangan
karena jarak kolom terlalu berdesakan. Analisa desain Formulir Informed Consent berdasarkan pelaksanaan
akreditasi standar HPK 6 lebih mengacu pada isi jenis informasi yang terlalu banyak sehingga membutuhkan
waktu lama meyampaikan semua informasi kepada pasien.
Saran yang diberikan dari aspek fisik sebaiknya bahan kertas diganti menjadi 80 gram. Dari aspek
anatomik dilakukan perbaikan margin, mencantumkan nomor edisi, dan penambahan tempat dan tanggal
pada tanda tangan. Pada bagian kendala pengisian sebaiknya diberi perintah pengisian dengan memberi
tanda ? di kolom jenis informasi yang disampaikan dan memperlebar jarak kolom tanda tangan. Sedangkan
analisa desain Formulir Informed Consent dilakukan pengurangan jenis informasi berdasarkan standar
akreditasi HPK 6. Serta merancang ulang formulir sesuai dengan uraian desain di atas.
Kata Kunci : Desain Formulir, Informed Consent, Standar Akreditasi HPK 6
Kepustakaan : 20 judul (2004 -2014)
Kata Kunci
:
Desain Formulir, Informed Consent, Standar Akreditasi HPK 6
Generated by SiAdin Systems � PSI UDINUS 2017
Repository | Thesis | Diploma of Medical Record - D3 | Faculty of Health Science | DINUS University | 2017
DESIGN ANALYSIS OF INFORMED CONSENT FORM
RELATED TO ACCREDITATION OF HPK 6 STANDARD
AT THE MITRA BANGSA PATI HOSPITAL 2017
EVY PURWANING TYAS
(Lecturer : Retno Astuti Setijaningsih, SS, MM)
Diploma of Medical Record - D3, Faculty of Health Science,
DINUS University
www.dinus.ac.id
Email : 422201401552@mhs.dinus.ac.id
ABSTRACT
Study Program D-III Medical Records and Health Information
Faculty of Health, Dian Nuswantoro University
Semarang
2017
ABSTRACT
Evy Purwaning Tyas
DESIGN ANALYSIS OF INFORMED CONSENT FORM
RELATED TO ACCREDITATION OF HPK 6 STANDARD
AT THE MITRA BANGSA PATI HOSPITAL 2017
The Informed Consent form is one of the forms that is immortalized, so it needs a design that makes it
easy for the officer to complete the form completely. In line with the 2012 version of Accreditation at Mitra
Bangsa Pati Hospital, particularly on the Patient and Family 6 standard (HPK 6), the hospital's accreditation
team traced the Informed Consent Form and found an incomplete form. Incompleteness include no signature
and name of the witness and the implementation column of the giving of information is not filled with the sign
?. The objectives of the study were: to analyze the design of Informed Consent Form based on physical,
anatomic, and content aspects, to identify the contents of Informed Consent Form, to analyze the design of
Informed Consent Form based on the accreditation of HPK 6 standard and to redesign the Informed Consent
Form design.
       The research method used is descriptive research method. Research subjects are all nurses
in the operating room Mitra Bangsa Pati Hospital there are 8 people. While the object of research is Form
Informed Consent. The research instruments are observation and questionnaire. The type of data used is the
primary data from the results of direct observation Form Informed Consent and secondary data from the
reference book.
       The results stated that the form analysis from the physical aspect of the paper material is too
thin. From the anatomical aspect the margin is too narrow, there is no edition number, and there is no place
and date on the signature. Charging constraints are no filling order commands and incomplete filling of
signatures because the column spacing is too crowded. The design analysis of Informed Consent Form
based on the accreditation implementation of HPK 6 standard refers more to the content of the type of
information that is too much so it takes a long time to deliver all the information to the patient.
       The advice given from the physical aspect should be changed to 80 grams of paper material.
From the anatomical aspect, margin improvements are made, listing the edition number, and adding the
place and date to the signature. In the charging constraint section should be given a fill order by ticking ? in
the information type column that is conveyed and widening the distance of the signature column. While the
design analysis of Informed Consent Form is done by reducing the type of information based on accreditation
standard of HPK 6. And redesigning the form according to the above design description
Keywords : Form Design, Informed Consent, Accreditation of HPK 6 Standard
Literatures : 20 (2004-2014)
Keyword
:
Form Design, Informed Consent, Accreditation of HPK 6 Standard
Generated by SiAdin Systems � PSI UDINUS 2017
Analisa Desain Formulir Informed Consent Terkait Akreditasi Standar
HPK 6 di Rumah Sakit Mitra Bangsa Pati Tahun 2017
EVY PURWANING TYAS
(Pembimbing : Retno Astuti Setijaningsih, SS, MM)
Rekam Medis&Info. Kesehatan - D3, FKes, Universitas Dian
Nuswantoro
www.dinus.ac.id
Email : 422201401552@mhs.dinus.ac.id
ABSTRAK
Program Studi D-III Rekam Medis dan Informasi Kesehatan
Fakultas Kesehatan, Universitas Dian Nuswantoro
Semarang
2017
ABSTRAK
Evy Purwaning Tyas
ANALISA DESAIN FORMULIR INFORMED CONSENT TERKAIT AKREDITASI STANDAR HPK 6 DI
RUMAH SAKIT MITRA BANGSA PATI TAHUN 2017
Formulir Informed Consent merupakan salah satu formulir yang diabadikan, sehingga diperlukan
rancangan yang memudahkan petugas untuk mengisi formulir secara lengkap. Sejalan diadakannya
akreditasi versi 2012 di Rumah Sakit Mitra Bangsa, khususnya pada standar Hak Pasien dan Keluarga 6
(HPK 6), tim komite akreditasi rumah sakit melakukan telusur terhadap Formulir Informed Consent dan
ditemukan formulir yang tidak lengkap. Ketidaklengkapan antara lain tidak ada tanda tangan dan nama saksi
dan kolom pelaksanaan pemberian informasi tidak diisi dengan tanda ?. Tujuan penelitian antara lain :
menganalisa desain Formulir Informed Consent berdasarkan aspek fisik, anatomik, dan isi, mengidentifikasi
kendala pengisian Formulir Informed Consent, menganalisa desain Formulir Informed Consent berdasarkan
pelaksanaan akreditasi standar HPK 6 dan merancang ulang desain Formulir Informed Consent.
Metode penelitian yang digunakan adalah metode penelitian deskriptif. Subjek penelitian yaitu semua
perawat yang ada di ruang operasi Rumah Sakit Mitra Bangsa Pati sejumlah 8 orang. Sedangkan objek
penelitian adalah Formulir Informed Consent. Instrumen penelitian adalah pedoman observasi dan angket.
Jenis data yang digunakan adalah data primer dari hasil observasi langsung Formulir Informed Consent dan
data sekunder dari buku referensi.
Hasil penelitian menyatakan analisa formulir dari aspek fisik bahan kertas terlalu tipis. Dari aspek
anatomik margin terlalu sempit, tidak ada nomor edisi, dan tidak ada tempat dan tanggal pada tanda tangan.
Kendala pengisian adalah tidak ada perintah cara pengisian dan ketidaklengkapan pengisian tanda tangan
karena jarak kolom terlalu berdesakan. Analisa desain Formulir Informed Consent berdasarkan pelaksanaan
akreditasi standar HPK 6 lebih mengacu pada isi jenis informasi yang terlalu banyak sehingga membutuhkan
waktu lama meyampaikan semua informasi kepada pasien.
Saran yang diberikan dari aspek fisik sebaiknya bahan kertas diganti menjadi 80 gram. Dari aspek
anatomik dilakukan perbaikan margin, mencantumkan nomor edisi, dan penambahan tempat dan tanggal
pada tanda tangan. Pada bagian kendala pengisian sebaiknya diberi perintah pengisian dengan memberi
tanda ? di kolom jenis informasi yang disampaikan dan memperlebar jarak kolom tanda tangan. Sedangkan
analisa desain Formulir Informed Consent dilakukan pengurangan jenis informasi berdasarkan standar
akreditasi HPK 6. Serta merancang ulang formulir sesuai dengan uraian desain di atas.
Kata Kunci : Desain Formulir, Informed Consent, Standar Akreditasi HPK 6
Kepustakaan : 20 judul (2004 -2014)
Kata Kunci
:
Desain Formulir, Informed Consent, Standar Akreditasi HPK 6
Generated by SiAdin Systems � PSI UDINUS 2017
Repository | Thesis | Diploma of Medical Record - D3 | Faculty of Health Science | DINUS University | 2017
DESIGN ANALYSIS OF INFORMED CONSENT FORM
RELATED TO ACCREDITATION OF HPK 6 STANDARD
AT THE MITRA BANGSA PATI HOSPITAL 2017
EVY PURWANING TYAS
(Lecturer : Retno Astuti Setijaningsih, SS, MM)
Diploma of Medical Record - D3, Faculty of Health Science,
DINUS University
www.dinus.ac.id
Email : 422201401552@mhs.dinus.ac.id
ABSTRACT
Study Program D-III Medical Records and Health Information
Faculty of Health, Dian Nuswantoro University
Semarang
2017
ABSTRACT
Evy Purwaning Tyas
DESIGN ANALYSIS OF INFORMED CONSENT FORM
RELATED TO ACCREDITATION OF HPK 6 STANDARD
AT THE MITRA BANGSA PATI HOSPITAL 2017
The Informed Consent form is one of the forms that is immortalized, so it needs a design that makes it
easy for the officer to complete the form completely. In line with the 2012 version of Accreditation at Mitra
Bangsa Pati Hospital, particularly on the Patient and Family 6 standard (HPK 6), the hospital's accreditation
team traced the Informed Consent Form and found an incomplete form. Incompleteness include no signature
and name of the witness and the implementation column of the giving of information is not filled with the sign
?. The objectives of the study were: to analyze the design of Informed Consent Form based on physical,
anatomic, and content aspects, to identify the contents of Informed Consent Form, to analyze the design of
Informed Consent Form based on the accreditation of HPK 6 standard and to redesign the Informed Consent
Form design.
       The research method used is descriptive research method. Research subjects are all nurses
in the operating room Mitra Bangsa Pati Hospital there are 8 people. While the object of research is Form
Informed Consent. The research instruments are observation and questionnaire. The type of data used is the
primary data from the results of direct observation Form Informed Consent and secondary data from the
reference book.
       The results stated that the form analysis from the physical aspect of the paper material is too
thin. From the anatomical aspect the margin is too narrow, there is no edition number, and there is no place
and date on the signature. Charging constraints are no filling order commands and incomplete filling of
signatures because the column spacing is too crowded. The design analysis of Informed Consent Form
based on the accreditation implementation of HPK 6 standard refers more to the content of the type of
information that is too much so it takes a long time to deliver all the information to the patient.
       The advice given from the physical aspect should be changed to 80 grams of paper material.
From the anatomical aspect, margin improvements are made, listing the edition number, and adding the
place and date to the signature. In the charging constraint section should be given a fill order by ticking ? in
the information type column that is conveyed and widening the distance of the signature column. While the
design analysis of Informed Consent Form is done by reducing the type of information based on accreditation
standard of HPK 6. And redesigning the form according to the above design description
Keywords : Form Design, Informed Consent, Accreditation of HPK 6 Standard
Literatures : 20 (2004-2014)
Keyword
:
Form Design, Informed Consent, Accreditation of HPK 6 Standard
Generated by SiAdin Systems � PSI UDINUS 2017